New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 77 - REHABILITATIVE SERVICES FOR CHILDREN
Subchapter 4 - BEHAVIORAL ASSISTANCE SERVICES
Section 10:77-4.7 - Individualized behavioral assistance service plan

Universal Citation: NJ Admin Code 10:77-4.7

Current through Register Vol. 56, No. 18, September 16, 2024

(a) Each beneficiary receiving behavioral assistance services shall have a documented individual behavioral assistance service plan that is based on an evaluation of the identified behavior(s) which includes recommendations for specific interventions with definable outcomes and strategies and delivered in a culturally competent, family friendly manner and implemented with sufficient intensity and precision to produce behavioral gains that have a significant and durable positive impact on the child's quality of life.

(b) All evaluations of identified behaviors shall be completed by professionals who have, at a minimum, a bachelor's degree in social work, counseling, psychology or psychiatric nursing and at least one year of experience in analyzing behaviors and designing behavioral assistance plans. Individuals performing the evaluations shall function under the supervision of the clinical supervisor. All evaluations shall be approved by a licensed clinical professional prior to the implementation of the child/youth or young adult's behavioral assistance service plan. Licensed clinical professional staff are not precluded from performing these evaluations if they have the relevant experience and skills; however, if they need the assistance of a behavioral assistance specialist to assist in the review, the evaluator shall meet the standards described above.

(c) The evaluation analyzes the identified behavior(s) and includes recommendations for specific interventions with definable outcomes and strategies. The evaluation, whenever possible, shall focus on prevention and early identification of problem behaviors. The completed evaluation generates an individually tailored intervention plan that matches the functions of the problem behaviors and incorporates generally accepted professional intervention models.

(d) For those children/youth and young adults receiving care management organization (CMO) services, the evaluation of the identified behavior(s) and subsequent behavioral assistance plan shall be included as part of the child's individualized service plan (ISP) prepared by the Child/Family Team. For all other children receiving behavioral assistance services, the plan of care shall be approved by the CSA or other agents designated by the Department of Human Services or Children and Families, prior to implementation. This plan of care shall include, at a minimum:

1. An evaluation of the identified behavior(s);

2. Defined and measurable goals and time frames as related to the goal;

3. Specific intervention techniques;

4. How the child/youth or young adult and his or her family/caregiver will access supportive services;

5. An implementation plan with provisions to train caregivers and other relevant parties who have regular contact with the child in environments where the behavior may be displayed in order to promote sustainability;

6. A process for ongoing monitoring and evaluation;

7. Quarterly progress reviews that include an onsite observation of the implementation of the plan; and

8. Ongoing monitoring/evaluation of the interventions that focus on determining the integrity with which the plan is delivered and the effectiveness of the plan in modifying the identified target behaviors through direct observation of the implementation of the plan.

(e) The evaluation of the identified behavior(s) shall be used in a proactive manner and shall focus on prevention and early intervention of problem behaviors to determine the variables that maintain, contribute to and/or reinforce problem behaviors.

(f) Each individual behavioral assistance service plan shall include specific interventions with definable outcomes, identified strategies, how those strategies will be implemented and by whom the strategies will be implemented, provisions to assure sustainability and normalization and a plan to monitor the defined interventions and evaluate the progress toward defined outcomes.

(g) Each individual behavioral assistance service plan shall incorporate the use of culturally sensitive assessments and interventions and shall be comprised of, at a minimum, interventions that consider the context within which the behavior occurs, address the functionality of the problem behavior and contains interventions that can be justified by outcomes that are acceptable to the child, the family and the child and family's environmental context.

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